To request a half-hour meeting to find out if the IMMUNE program is right for you, please complete this questionnaire. Request Invitational Meeting Your name Email How did you find out about the IMMUNE program? * MindTree Health website Searching for help online GNM community Bruce Lipton community Personal referral Saw an ad OtherOther What is the issue or problem as you see it? On a scale of 1-10, how much is this affecting your life? 1 2 3 4 5 6 7 8 9 10 (1: you hardly notice, 10: it seriously limits relationships, career, lifestyle) What worries or concerns you the most about this issue? * What would resolving this issue allow you to do? * Why do you feel the issue has not yet been resolved? * How much have you spent trying to resolve this issue in the past 12 months? * $0 - $1,000 $1,000-$10,000 more than $10,000 Would you like to subscribe to the CliffsNotes newsletter? Yes (I can unsubscribe anytime) * I understand and accept the MindTree Health Privacy Policy and Medical Disclaimer If you are human, leave this field blank. Submit After you complete and submit the questionnaire, I'll contact you to give you the session booking link.